| Regimental number | 3391 |
| Place of birth | Daylesford, Victoria |
| Religion | Church of England |
| Occupation | Wharf contractor |
| Address | 73 Carey Street, Leichhardt, New South Wales |
| Marital status | Married |
| Age at embarkation | 37 |
| Next of kin | Wife, Mrs Kate Cherry, 73 Carey Street, Leichhardt, New South Wales |
| Enlistment date | 30 December 1916 |
| Place of enlistment | Sydney, New South Wales |
| Rank on enlistment | Private |
| Unit name | 55th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/72/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A68 Anchises on 24 January 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Field Company Engineers |
| Fate | Returned to Australia 9 March 1919 |
